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State specific objectives, including any prespecified hypotheses P.7; Line 136. – 139 ... 15. Report numbers of outcome events or summary measures. P.15 –16;.
STROBE Statement—Checklist of items Title and abstract

Item No 1

Pages Recommendation (a) Indicate the study’s design with a commonly used term in

Title : P.1;

the title or the abstract

Line 1-5

(b) Provide in the abstract an informative and balanced

Abstract : P.3

summary of what was done and what was found

– 4; Line 43 –72

Introduction Background/rationale Objectives

2 3

Explain the scientific background and rationale for the

P.5-7; Line

investigation being reported

76 – 135

State specific objectives, including any prespecified hypotheses

P.7; Line 136 – 139

Methods Study design

4

Present key elements of study design early in the paper

Setting

5

Describe the setting, locations, and relevant dates, including

P.9; Line 162

periods of recruitment, exposure, follow-up, and data collection

– 168.

P.7-8;Line 141 –146

P.9; Line 176 – 184. P.10; Line 189 – 196. Participants Variables

Data sources/

6 7

8

measurement Bias

9

(a) Give the eligibility criteria, and the sources and methods of

P.8; Line 147

selection of participants

–157

Clearly define all outcomes, exposures, predictors, potential

P.10 – 11;

confounders, and effect modifiers. Give diagnostic criteria, if

Line 212 –

applicable

217

For each variable of interest, give sources of data and details of

P.11 –12;

methods of assessment (measurement). Describe comparability

Line 228 –

of assessment methods if there is more than one group

254

Describe any efforts to address potential sources of bias

P.12; Line 245 – 249

Study size

10

Explain how the study size was arrived at

N/A

Quantitative variables

11

Explain how quantitative variables were handled in the

P.13; Line

analyses. If applicable, describe which groupings were chosen

270 – 272

and why Statistical methods

12

(a) Describe all statistical methods, including those used to

P.13; Line

control for confounding

272 – 278

(b) Describe any methods used to examine subgroups and

P.13; Line

interactions

273 – 274

(c) Explain how missing data were addressed

P.14; Line 279 – 280

(d) If applicable, describe analytical methods taking account of

N/A

sampling strategy (e) Describe any sensitivity analyses

P.13; Line 273 – 274

1

Results Participants

13

(a) Report numbers of individuals at each stage of study—eg

P.14; Line

numbers potentially eligible, examined for eligibility,

285 – 290

confirmed eligible, included in the study, completing followup, and analysed (b) Give reasons for non-participation at each stage

P.11; Line 230 – 231

(c) Consider use of a flow diagram

P.14; Line 291 – 296

Descriptive data

Outcome data

14

15

(a) Give characteristics of study participants (eg demographic,

P.14 –15;

clinical, social) and information on exposures and potential

Line 291–

confounders

299

(b) Indicate number of participants with missing data for each

P.14; Line

variable of interest

279 – 280

Report numbers of outcome events or summary measures

P.15 –16; Line 300 – 319 P.16 –17; Line 323 – 339 P.17–18; Line 340 – 355

Main results

16

(a) Give unadjusted estimates and, if applicable, confounder-

N/A

adjusted estimates and their precision (eg, 95% confidence interval). Make clear which confounders were adjusted for and why they were included (b) Report category boundaries when continuous variables were

N/A

categorized (c) If relevant, consider translating estimates of relative risk

N/A

into absolute risk for a meaningful time period Other analyses

17

Report other analyses done—eg analyses of subgroups and

N/A

interactions, and sensitivity analyses Discussion Key results

18

Summarise key results with reference to study objectives

P.16 – 19; Line 306-362

Limitations

Interpretation

Generalisability Other information Funding

19

20

21

22

Discuss limitations of the study, taking into account sources of

P.21 – 22;

potential bias or imprecision. Discuss both direction and

Line 415 –

magnitude of any potential bias

425

Give a cautious overall interpretation of results considering

P.19 – 21;

objectives, limitations, multiplicity of analyses, results from

Line 371 –

similar studies, and other relevant evidence

414

Discuss the generalisability (external validity) of the study

P.22; Line

results

431 – 434

Give the source of funding and the role of the funders for the

P.23; Line

present study and, if applicable, for the original study on which

447 – 449

2

the present article is based Note: An Explanation and Elaboration article discusses each checklist item and gives methodological background and published examples of transparent reporting. The STROBE checklist is best used in conjunction with this article (freely available on the Web sites of PLoS Medicine at http://www.plosmedicine.org/, Annals of Internal Medicine at http://www.annals.org/, and Epidemiology at http://www.epidem.com/). Information on the STROBE Initiative is available at www.strobe-statement.org.

3

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